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ASHLEY VANDYCK LPC-IT
NPI 1831777101
Counselor - Mental Health in Green Bay, WI

Active since March 30, 2021PECOS Enrolled
424 S MONROE AVE STE 201, GREEN BAY, WI 54301(920) 445-0170(920) 445-0174 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ashley Vandyck Lpc-it NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY VANDYCK LPC-IT (NPI 1831777101) is an individual mental health provider in Green Bay, Wisconsin, licensed in Wisconsin (4928-226) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831777101
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameASHLEY VANDYCKCredential: LPC-IT
Location Address424 S MONROE AVE STE 201Green Bay, WI 54301-4054
Mailing Address424 S Monroe Ave Ste 201Green Bay, WI 54301-4054 · (920) 445-0170 · Fax (920) 445-0174
Phone(920) 445-0170
Fax(920) 445-0174
Sole ProprietorNo
Enumeration DateMarch 30, 2021
Last NPPES UpdateApril 1, 2021
NPPES CertifiedApril 1, 2021
✔ NPI 1831777101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 4928-226
424 S MONROE AVE STE 201, Green Bay, WI 54301
Open in Google Maps ↗

Other Names 1

Other Name (5)Ashley Van Dyck Lpc-it

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Vandyck Lpc-it is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ashley Vandyck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Samaritan Counseling Center Of The Fox Valley, Inc.
28 mi
Mental Health (Including Community Mental Health Center)
1205 PROVINCE TER
Menasha, WI 54952
  • Reassigned Medicare billing, Wisconsin enrollment
  • 14 clinicians in this Medicare group
NPI 1538175195 (920) 886-9319

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATIE KOEBERNIK LPC-IT
Counselor (Mental Health)
424 S MONROE AVE STE 201
GREEN BAY, WI 54301
Brown County (920) 445-0170
TRACY LYNN SINEWAY
Social Worker (Clinical)
424 S MONROE AVE STE 201
GREEN BAY, WI 54301
Brown County (920) 445-0170
TRENTON ESTANO SAC-IT
Counselor (Addiction (Substance Use Disorder))
424 S MONROE AVE STE 201
GREEN BAY, WI 54301
Brown County (920) 445-0170
TAYLOR GESKE LPCIT, SACIT
Counselor (Mental Health)
424 S MONROE AVE STE 201
GREEN BAY, WI 54301
Brown County (920) 445-0170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashley Vandyck's NPI number?

The NPI number for Ashley Vandyck is 1831777101. It was assigned to this individual provider in the NPPES registry on March 30, 2021. The provider is also known as Ashley Van Dyck Lpc-It.

Where is Ashley Vandyck located?

Ashley Vandyck practices at 424 S Monroe Ave Ste 201, Green Bay, WI 54301. The listed phone number is (920) 445-0170.

What is Ashley Vandyck's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Ashley Vandyck enrolled in Medicare?

Yes. Ashley Vandyck is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ashley Vandyck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Vandyck reassigns Medicare benefits to Samaritan Counseling Center Of The Fox Valley, Inc. (Menasha, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashley Vandyck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Vandyck accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Dean Health Plan list Ashley Vandyck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashley Vandyck was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.